| NPI | 1841469061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101256346) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 94846) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2026-02-13 |